| NPI | 1558083949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 359928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11021870) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2026-08-20 |